WAL-MART STORES EAST, LP
NPI: 1154402550
· GREENSBURG, PA 15601
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
66 |
$1K |
| 2023 |
85 |
$1K |
| 2024 |
408 |
$17K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2025 |
Eyeglasses delux frames |
202 |
202 |
$12K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
149 |
147 |
$4K |
| V2020 |
Vision svcs frames purchases |
208 |
198 |
$3K |